Individual
SUZANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1050 MAIN ST UNIT 9, EAST GREENWICH, RI 02818-3163
(401) 884-0600
Mailing address
251 WATERMAN ST, PROVIDENCE, RI 02906-5235
(401) 453-4263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02683
RI
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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